R BLAKE EDMONDS

PHILADELPHIA, PA
NPI1285857342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: PA  Ds19126L)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Dr. R BLAKE EDMONDS D.M.D.
1501 E WADSWORTH AVE
PHILADELPHIA, PA 19150-1615
Phone number: 215-247-1040
Mailing Address
Dr. R BLAKE EDMONDS D.M.D.
1501 E WADSWORTH AVE
PHILADELPHIA, PA 19150-1615
Phone number: 215-247-1040